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#1784 of 11K

93226

HCPCS Procedure Code

HCPCS code 93226 is the #1,784 most-billed Medicaid procedure code, with $14.0M in payments across 379K claims from 2018–2024. The national median cost per claim is $38.71. Costs vary widely — the 90th percentile is $132.26 per claim, 3.4× the median.

Total Paid

$14.0M

0.00% of all spending

Total Claims

379K

Providers

428

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 93226? Based on 399 providers billing this code nationally.

Median

$38.71

Average

$60.36

Std Dev

$78.89

Max

$834.38

Percentile Distribution (Cost per Claim)

p10
$7.84
p25
$20.83
Median
$38.71
p75
$65.25
p90
$132.26
p95
$192.91
p99
$400.59

50% of providers bill between $20.83 and $65.25 per claim for this code.

90% bill between $7.84 and $132.26.

Top 1% bill above $400.59.

About This Procedure

HCPCS code 93226 was billed by 428 providers across 379K claims, totaling $14.0M in Medicaid payments from 2018–2024. This code was used for 353K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.71

Providers Billing

399

National Spending

$14.0M

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93226

#ProviderTotal Paid
11790869402$1.5M
2Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$817K
31063414258$667K
4Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$591K
5Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$577K
61255367843$538K
71710130539$398K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$366K
9Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$308K
10Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$296K
11Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$241K
12Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$222K
13West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$222K
14Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$212K
15Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$210K
161043279565$201K
17The Milton S Hershey Medical Center

Hershey, PA · General Acute Care Hospital

$197K
18Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$183K
19The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$158K
20Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$153K

Showing top 20 of 428 providers billing this code